HomeMy WebLinkAbout0133012-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1601 MARICOPA DR
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Owner GREGORY/SHARON M MALKOWSKY
No 133012
Create Date 09/22/2008
Category 411 -Residential-Water Heaters Plan
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
1 Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Date 09/22/2008
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH
Date
WI 54904 - 8887 Telephone Number 920-231-1289
~ v scneauie inspections grease can the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
--~'r-- Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
09/20/2008 07:42 2336747
City of Oshkosh
Inspocticm tivrvices Division
P () fax 1130
C)shkosh, Wt 5443-113Q
rnuuv--- ~iGVJ b±V-JVJV
F'ax: (920) 23G-5484
J RASMUSSEN
Plu gibing Permit Application
PAGE 01/01
~„_,_
u!v r!+r. wArFR
1 hgr+;fty apply for a permit lt) du tend iltctall tl :following plumbing on the premises hereinafter described, the work to conform to tkte
Wisconsin State Plumbing Crude, in th, performance of which all parties hereto agree to and art: bu'und by Said statutes.
• Application(s) and fee(s) can bu brpught I • ('ity F•!t-I1, Room 205 or m:tilcti kt Inspection Services, PU Box t 12R, nshkosh W]
54903-'I 1's',8. Commencing Wurk without lermit{sl will result. in fc(~s E>zirlg doubled ur $1011-00 plus the normal permit fcc, which
ever is greater.
OR
!f vuu are a c-t~r~rraervr purrrcipuling n, 11rc~.!'ermit F N :4eevan~ S' ~stcm crnci_,Ei~rre adNquare f'unc!-~~,.c'he~ek hire
if yuu warrl~rhis rJrut'e.r~•E•d rhr~~h vv it accurent
** Advisory -For applicable protects, ~ ~. Electrical 1[nstallation irrril•ACatiosr (lEl[V) form, sighted by the Electrical
Contractor or Iiomeownex (for installs ions allowed to be performed by the ho>Imeowner) must be snbstLitted
with the permit application. Appl,iizatil oc s>,bmitted without an EIV whets ,:rack is required, will rat be
processed for Fermis Iastaance and will le returned for. completion.
0
Job AddreSS l ~ r ~~i G~ g ~O -~ Date ^ ~G~ D g •
1 _.,,~„ , ,,,~~-- _ ~d~.il@ (InClUtlinh lulx+r mtd matcrialy)
Owner ~~ o~.+r S {cI _ _ Contractor ~ • {~A~ PW (~ ~..5 ~ ~ ~ 1 ~''' ~, , .....--
~ingle Family ~nupiex [Multi-Family ^Rmntal ~[]Corlntnercial ~llndustrial
Number o1FIFi~tnrea:
Llathtub ----•... I'fistxsul .... _. Urmk I'Uf (:rG:b Basin
WhirlpuVl -__ Dialtwa~ltcr Wrlil. \t. __, - V4'asll Fp1
L~;tvulu+r• _-•-• Sump !pump . _ ._ ... 4:c r,'IN•t:r t Irinod •---
tmlct „_, -- lijuctvt•/(.hind -. _, •, I;;x;lm tiiak ("wr Dntin _„__•
kea. !link ,_• , -, Water SoRner _-_„_-_ til;lllly Sink _•_-,_ _ 5odu Duvp -_-_-_,
13;IrSink _--, i.ol.•alWaStt; liandtiiak _-~ C.oITccMukcr __-,
Wattu Halter _.._I_
- ('IOttteS Wshl• -....__-•- I~ art:p `ink
... (:bmin. Ice Mpkcr _....
.
/ftlll)tt~ I.I kaaca~'wrvnt Rilllel .. ._
-•--- ~crv Cink •--•- -_
-- SiIC 1.'hain _..._
~
y`hpwer ---
13trr'rap
-. _._ Int(ire^ae'(5;tp
- .
..
lka'Fllnllt
F1nur grhip -_-- Classnn Sink __.-. Lxt Gn:a~c Trnp
-_- SMndp Ttr;t; -.-.._...
-
I,afj,ry fray _.--_ 1lll L!@VhY SITk __._-. R. r.I. ~~HIVC Iiye WASh $tlt .__.-`
l.ah Sink
..... ...
Brrlknn Rink --
__..-_ Shnuyl Sink --- ..,__......-
- Wv Scwcr Mtra
~ S$t@I' 5111 _ _-, ..__.
Ilia Wc~!
. __ _...._ I~IdWst Slnk -•-• -
I•k4tlc't Mt~ndls
5tet'i I i?~:~ ,, ,,, •,- -,
_ -- ,
-° ~° I iu~c 13ih;+ •__, _-- W Ir tJ5a~6 Mlrs
Misc. ..
I~i`tLures
Electric Contractor (for projects >tltof: requi •dng an F.1fV Form)
Use /Nature of Work ~'~'~~- ~ ~''1 /~' W (-(
r,_.,. Size Materiel Type--•~- •••
Sanitary Sewer
Sturm Sower
Wrttrr Snrvicc
t) 9 /:1'~